Case Presentation: 38 year old male with history of rheumatoid arthritis presented to the emergency department with six months of episodic fever up to three times a week. Associated symptoms included occasional nonproductive cough and intermittent diffuse abdominal pain without any report of nausea, vomiting, or diarrhea. He denied any other localizing symptoms including dysuria [...]

Case Presentation: A 44-year-old Nigerian woman with no medical history and recent travel to Mexico presents with cough for 4 weeks, fever, and malaise. She initially presented to urgent care with respiratory complaints, was diagnosed with pneumonia and given azithromycin. Her symptoms did not improve and she went to the ED. Vitals were notable for [...]